HELP BUILD THE ARC
MEMBERSHIP APPLICATION:
Name _______________________________________________________
Address ____________________________________________________
____________________________________________________________
____________________________________________________________
Phone ( ) __________________________________________
Email: _____________________________________________________
Your check covers membership for one full year in the local, state, and national associations.
- $10.00 Self Advocate
- $15.00 Individual Membership
- $20.00 Family Membership
- $25.00 Patron Membership
- $50.00 President’s Club
- $100.00 Golden Dove
- $ Other
Mail To:
The Arc of Wilson County, Inc.
Membership
P.O. Box 3943
Wilson, North Carolina 27895
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